Coding Compliance Auditor

🔥 2 hours ago

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GeBBS Healthcare Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2005

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

GeBBS Healthcare Solutions is a technology-enabled healthcare services company that provides end-to-end Revenue Cycle Management (RCM) and health information management (HIM) services to providers and payers. GeBBS combines proprietary software platforms (e. g. , iCareONE, iCodeONE, iCode Risk Adjustment) with automation, Agentic AI / AI-NLP, robotic process automation, data analytics, coding and compliance services to improve patient access, coding, billing, denials management, accounts receivable, and payer risk adjustment. The company positions itself as a B2B partner and outsourcing provider to hospitals, health systems, DME/HME providers, and payers, emphasizing scalable execution, compliance governance, and improved financial outcomes for healthcare organizations.

📋 Description

• Perform comprehensive audits of inpatient and outpatient medical records to validate accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code assignment. • Ensure coding practices align with CMS, OIG, AHIMA, AAPC, payer, and client-specific regulatory requirements. • Identify documentation and coding trends, compliance risks, and reimbursement opportunities through detailed analysis. • Develop clear, actionable audit reports outlining findings, recommendations, and opportunities for process improvement. • Collaborate with coding leaders and operational teams to resolve coding discrepancies and strengthen documentation quality. • Deliver individualized and group education to coders and clinical staff based on audit findings and evolving regulatory guidance. • Monitor coding quality metrics and recommend strategies that improve coding accuracy, compliance, and overall performance. • Stay current on coding updates, reimbursement methodologies, and healthcare regulations to ensure best practices are consistently applied.

🎯 Requirements

• 4+ years of acute care inpatient & outpatient coding experience, including coding quality or compliance auditing. • Demonstrated expertise with ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems. • One or more active credentials such as CCS, RHIA, RHIT, CPC, or CIC. • Strong understanding of Medicare reimbursement methodologies, including MS-DRGs, IPPS, OPPS, and applicable federal coding guidelines. • Experience interpreting clinical documentation and identifying opportunities to improve coding accuracy and compliance. • Exceptional analytical, communication, and written reporting skills. • Ability to provide constructive feedback and education that supports coder development. • Comfortable working independently while collaborating with cross-functional healthcare teams in a remote environment. • Proficiency with EHR Epic

🏖️ Benefits

• Medical, Dental & Vision Insurance • 401(k) with Company Match • Paid Time Off & Paid Holidays • Flexible Spending Accounts (FSA) • Opportunities for Professional Growth & Career Development • Fully Remote Work Environment • Supportive, Collaborative Team Culture